Daniel Anthony Blaz, FNP-BC | |
431 Meadowlark St, Shaw Afb, SC 29152-5019 | |
(803) 885-7976 | |
Not Available |
Full Name | Daniel Anthony Blaz |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 431 Meadowlark St, Shaw Afb, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881786879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN279151 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | 09219 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cleveland Clinic | Cleveland, OH | Hospital |
Medina Hospital | Medina, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cleveland Clinic Foundation | 1850203555 | 5680 |
Cleveland Clinic - Wooster | 6800708124 | 199 |
Entity Name | The Cleveland Clinic Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Entity Name | Wooster Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
Mailing Address | Practice Location Address |
---|---|
Daniel Anthony Blaz, FNP-BC 431 Meadowlark St, Shaw Afb, SC 29152-5019 Ph: (330) 858-3514 | Daniel Anthony Blaz, FNP-BC 431 Meadowlark St, Shaw Afb, SC 29152-5019 Ph: (803) 885-7976 |
Ms. Lauren Carol Allain, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 Meadowlark St., 20th Mdg/sghc, Shaw Afb, SC 29152 Phone: 803-895-6356 Fax: 803-895-6456 | |
Jacqueline Mintz, ARNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 524 Nelson Ave, Shaw Afb, SC 29152 Phone: 706-495-6612 | |
Lorraine Rivero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 843-754-2214 | |
Diane Susan White, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-6356 | |
Kimberly Marie Shanks, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 431 Meadowlark Rd, Shaw Afb, SC 29152 Phone: 803-895-6592 | |
Bri Durrans Deamare Ramirez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152 Phone: 808-772-9388 |